Individual provider · Type 1 NPI

Nicole M. Jack, PA-C

Physician Assistant · Pontiac, IL

NPI number 1083104137 Active

Practice location

2500 W Reynolds St
Pontiac, IL 61764

Call (815) 844-5343 Map

Fax (815) 844-5715

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085006579 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

80 other providers at this address

Other physician assistant providers in Pontiac

See all in Pontiac →

About NPI 1083104137

Nicole M. Jack, PA-C's National Provider Identifier is 1083104137, issued on May 15, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pontiac, IL. The record was last updated on Jun 18, 2018.